Organization Active NPI

Institute of Family Health

  • Personal Emergency Response Attendant
  • Merrillville, IN
National Provider Identifier
1740406602
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
01026604A Issued in IN
Legal business name
INSTITUTE OF FAMILY HEALTH
Practice address
5454 Broadway
Merrillville, IN 46410
Phone
(219) 884-2600
Fax
(219) 985-0570
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jerald S, M.D.
Title
Surgeon
Phone
(708) 798-4664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 146D00000X 01026604A IN Primary

Addresses

Primary practice location

5454 Broadway
Merrillville, IN 46410

Mailing address

5454 Broadway
Merrillville, IN 46410-1648
Phone (219) 884-2600

Other identifiers 1

IdentifierTypeStateIssuer
100168290MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Institute of Family Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1740406602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101648",
            "telephone_number": "219-884-2600",
            "fax_number": "219-985-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "46410",
            "telephone_number": "219-884-2600",
            "fax_number": "219-985-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE OF FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "708-798-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "IN",
            "license": "01026604A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100168290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.